A 28-year-old patient who has deep human bite wounds on the left ...

[acc299]

A 28-year-old patient who has deep human bite wounds on the left hand is being treated in the urgent care center. Which action will the nurse plan to take?
 
  a. Prepare to administer rabies immune globulin (BayRab).
  b. Assist the health care provider with suturing of the bite wounds.
  c. Teach the patient the reason for the use of prophylactic antibiotics.
  d. Keep the wounds dry until the health care provider can assess them.

Question 2

A 54-year-old patient arrives in the emergency department (ED) after exposure to powdered lime at work. Which action should the nurse take first?
 
  a. Obtain the patient's vital signs.
  b. Obtain a baseline complete blood count.
  c. Decontaminate the patient by showering with water.
  d. Brush off any visible powder on the skin and clothing.

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Answer to Question 1

ANS: C
Because human bites of the hand frequently become infected, prophylactic antibiotics are usually prescribed to prevent infection. To minimize infection, deep bite wounds on the extremities are left open. Rabies immune globulin might be used after an animal bite. Initial treatment of bite wounds includes copious irrigation to help clean out contaminants and microorganisms.

Answer to Question 2

ANS: D
The initial action should be to protect staff members and decrease the patient's exposure to the toxin by decontamination. Patients exposed to powdered lime should not be showered; instead any/all visible powder should be brushed off. The other actions can be done after the decontamination is completed.

[acc299]

Gracias!

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TYSM